Ann Clin Case Rep | Volume 2, Issue 1 | Case Report | Open Access

Levonorgestrel Intrauterine Device and Escherichia coli Sepsis

Stanton Taylor*, Laus Katharina* and Iris Romero

Department of Gynecology, University of Chicago Medical Center, USA

*Correspondance to: Stanton Taylor Laus Katharina 

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Intrauterine Devices (IUD) are a reliable form of long acting reversible contraceptive. Currently, approximately 5%-10% of US women use IUDs as their preferred method of contraception. They have been associated with pelvic inflammatory disease when inserted at the time of acute cervicitis. Women with IUDs have been shown to have an increased risk of asymptomatic genitourinary bacterial colonization. In this particular case, a woman with a levonorgestrel IUD presents with nonspecific complaints of abdominal pain and ultimately meets criteria for sepsis. Another source could not be identified and her IUD is removed. The IUD is sent for culture and results are notable for E. coli. An endometrial biopsy notes acute and chronic endometritis as well as E. coli. This case highlights a unique source of sepsis in women with IUDs.


Taylor S, Katharina L, Romero I. Levonorgestrel Intrauterine Device and Escherichia coli Sepsis. Ann Clin Case Rep. 2017; 2: 1410.

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